KELLY NELSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1134212236

KELLY NELSON (CRNA) is a healthcare provider. based in Dalton, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN117855 (GA). The NPI Number for KELLY NELSON (CRNA) is 1134212236

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
KELLY NELSON (CRNA)
NPI
1134212236
Phone
(706) 259-4435
Address
1419 CHATTANOOGA AVE
Enumeration Date
2 October 2006
Last Update Date
21 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8655222949
Graduation Year
1999 (27 years ago)
PAC ID
8921184367
Group Practice PAC ID
6901795830
Professional Enrollment ID
I20211019000357
Address ID
TN379162435KN1819XAVEX306
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA

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Provider Addresses for KELLY NELSON (CRNA)

  • Chattanooga Avenue, Dalton, Whitfield County, Georgia, 30720, United States

    SUITE 4

    DALTON, GA 307202642

    Phone: (706) 259-4435

    Fax: (706) 226-2283

    Type: Mailing

  • Hamilton Medical Center, 1200, Memorial Drive, Dalton, Whitfield County, Georgia, 30722, United States

    DALTON, GA 307202529

    Phone: (706) 259-4435

    Fax: (706) 226-2283

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-02-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080325000519ICertified Registered Nurse Anesthetist (Crna)GATBD
I20211019000357ICertified Registered Nurse Anesthetist (Crna)TNTBD
I20230220002061ICertified Registered Nurse Anesthetist (Crna)NCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1515$0
View full utilization report →

Insurance plans in this area (ZIP 30720)

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Provider's Procedures

KELLY NELSON (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETGA00790Anesthesia for procedure in upper abdomen including use of an endoscope1212

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901795830View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YTN
-TN
Certified Registered Nurse Anesthetist (Crna)SC
A N E S T H E S I O L O G YAE
-TN
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)SC
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)AL

Reviews

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Frequently asked questions

What is the registry number for KELLY NELSON (CRNA)?
The registry entry for KELLY NELSON (CRNA) shows NPI 1134212236.
Does the public listing show KELLY NELSON (CRNA) as active?
KELLY NELSON (CRNA)'s NPI record reflects an active status in NPPES.
What does the directory say KELLY NELSON (CRNA) does?
Insurance directories may phrase it differently, but here KELLY NELSON (CRNA) maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What city is tied to KELLY NELSON (CRNA)?
The directory associates KELLY NELSON (CRNA) with Dalton, Georgia. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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